Roderick, Susan H.
Roderick, Susan H. is an individual health care provider with primary practice located at 49 Harry Kemp Way Outer Cape Health, Provincetown MA 02657-1618. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Roderick, Susan H. can be contacted via phone (508) 487-9395.Contact Information
Primary practice address
49 Harry Kemp Way Outer Cape Health
Provincetown MA 02657-1618
Phone: (508) 487-9395
Fax: (508) 487-3285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | MA113351 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | MA113351 | Massachusetts |
Profile Details
| NPI number | 1518022045 |
|---|---|
| LBN Legal business name | Roderick, Susan H. |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Dec 8th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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